If you are choosing the option for a Birth Doula with classes please note that you will pay your fees here and then Michelle will contact you to schedule classes or you can look at the class calendar on the website, choose classes, days and times and email that information to Michelle (motheringthemotherinc@gmail.com)

Click here to confirm that you understand Michelle’s vacation and training schedule, and to confirm if you have any questions you have talked with her before signing this contract (if she isn't available due to a training workshop or vacation you will receive a back up doula, and if that doula is not available you will receive 1/2 your fee back).
*

I agree

Click here to confirm that you have read the contract and agree to the terms you are signing with Mothering the Mother/Milwaukee Doulas.
*

I agree

I understand that Mothering the Mother/Milwaukee Doulas and/or any of its representatives cannot be held liable for actions I take, or if there are complications of my pregnancy, labor, delivery, postpartum period, etc as the doula is not a medical provider. It is my responsibility to consult my provider if concerns arise, and it is up to me to make decisions for my baby and myself. Due to this I agree not to sue Mothering the Mother/Milwaukee Doulas or any of its representatives in the event that something does not go as intended since all decisions lie within me.
*

I agree

I understand that at times Mothering the Mother/Milwaukee Doulas assists and/or helps train new birth professionals so there may be an additional professional along assisting, and I am okay with a secondary presence.
*

I agree (I would love two doulas for the price of one) No thank you

I understand that I am signing this contract virtually, but that this is still a legal and binding document.
*

I agree

I have read, understand and agree to the terms of the contract. I understand that my signature below will take the place of signing a paper contract.
*

I agree

Signature of agreement to the terms and conditions of the contract. (Please sign in the box using your mouse if on a computer if signature box is present on your device)

Type name here agreeing to the terms and conditions of this contract. (your typewritten name replaces a signature on a paper copy)
*

How would you like me to contact you to schedule our first meeting?
*

How did you hear about Mothering the Mother?
*

For Premium Package complete this section

As part of signing up for a Premium Birth Doula Package with Mothering the Mother you will receive a basic labor support kit. There are some basic items that come in this kit, and then a part of it is customizable. Please choose from the list below for the customization portion for your kit.

Lip Balm Preference

Tea Preference

Massager

Fan

Spiky ball

Honey Sticks

Labor Support Cards

Massage Oil Preference

Choose 5 essential oil samplers for your labor support bag

Chamomile Frankincense Frankincense Blend Geranium Grapefruit Helichrysum Helichrysum Blend Jasmine Lavender Lemon Lime Myrrh Myrrh Blend Orange Peppermint (highly recommended to add to your kit0 Tangerine Ylang Ylang I am not sure and will choose my oils when I learn about them in my class/prenatal No thank you, I do not want any